Breast Augmentation (IMPLANTS)
Breast Augmentation along with other procedures of the Breast, Face, Body and Nose that I perform can help give you a renewed physical and emotional self confidence. The most important first step is for us to have a consultation to discuss your concerns, needs, expectations and to answer ALL of your questions. Having a mutual understanding is valuable for your success since your well being is my main concern. Brian D. Cohen, M.D.
Breast augmentation is one of our most popular services and one of the most frequently performed plastic/cosmetic surgical procedures in the U.S. Breast augmentation can give women with small or unevenly sized breasts a fuller, firmer, better-proportioned look through the placement of saline or silicone implants in the breast.
Our patients elect to undergo breast augmentation for many different medical and aesthetic reasons, including balancing breast size, compensating for reduced breast mass after pregnancy or surgery, and correcting a congenital breast defect. Under Dr. Cohen’s care, patients enjoy great-looking, natural-feeling breasts that are one or more cup sizes larger after the operation.
The breast augmentation procedure lasts one to two hours and is typically performed with general anesthesia. There are three important questions to answer before having breast augmentation.
- What type of implant would you like to use?
- Where would you like the skin incision placed?
- Where should the implant be placed?
Types of Implants: Saline vs. Silicone
Breast implants are silicone shells filled with either saline (salt water) or silicone gel. Both implant types are very safe, and each offers its own advantages. In 2006, after many years, the U.S. Food and Drug Administration (FDA) approved silicone breast implants for breast augmentation surgery. In June 2011, the FDA issued a “white paper” on the safety of silicone gel-filled implant.
During your consultation, after discussing your wishes and needs, Dr. Cohen will help you decide which type of implant is right for you.
When speaking with Dr. Cohen, ask about this latest implant that's now available. A soft, long lasting feel and shape that stays that way.
Breast Augmentation Surgery - Incision Techniques
Dr. Cohen recommends placing incisions in inconspicuous places on the breast to minimize scar visibility although other options do exist. These may be located in the crease on the underside of the breast (inframammary), or around the areola, the dark skin around the nipple (periareolar).
Breast Augmentation Surgery - Placement Options
After Dr. Cohen makes the skin incisions, he creates a pocket for the implant. This may be behind the breast tissue alone, or behind the breast tissue and chest wall muscles (pectoralis muscles). Implant placement beneath the muscle of the chest offers a few advantages over placement beneath the breast tissue only. These include reduced risk of capsular contracture (post-operative tightening around the implant) and less interference with mammogram examinations. Possible disadvantages include need for drainage tubes and elevated pain in the first few days following surgery. Dr. Cohen will review all of this in great detail during your consultation to help you make an informed decision.
After the implants have been inserted and positioned beneath the nipples, the incisions are stitched closed, then taped and bandaged. In a few days, these bandages may be replaced with a surgical bra.
Most patients feel tired and sore after breast augmentation surgery, but this usually passes in a day or two. Many patients return to work within the week.
Stitches are removed in a week to 10 days after breast augmentation. Any post-operative pain, swelling and sensitivity will diminish over the first few weeks.
Scars from breast augmentation incisions will begin to fade in a few months and will continue to fade for months or years.